if you shift something in government, you are saying it is "common good" - obligation of society for all members of society.

US we are liberalist -- tied in to individualism - and therefore inherently at odds with common good.

text# landmark. -- .. why at the roots is the imit of individualism.

individualism vs communitarism

part 3 - has 3 definition of common good. 1. catholic version 2. Ross's view p289

common good "does not equal" common morality

common good - seeks a support of an overlapping consensus. For Ross -> the common good is what the consensus says it is.

majority is not the consensus. -- we tend to agree on, "when you lose the vote, you go along"

Governance - obligation of society for all members of society

notion of neutrality

p297 - review what liberal neutrality claim to be. view that public instution or law should not promote any particular view of a "good life". the right should be given priority over the good.

neutrality is something to question in liberalism. basic antagonism to communitarism.

personal value

p298. critics attack liberalism because it separates personal values from political ideals. "neutrality". should elected official bring their personal values to their vote?

communitarism -- why in deliberating about justice should we set aside our moral judgments that inform the rest of our lives? why must we bracket our moral and religious conviction? p298 is personal morality political? is our political morality personal? -- does have a physician have freedom of choice in their morality? is the president of the US free to enact his/her morality?

healthcare. but to answer that, we need to be more general. what should governance be? should it be law only?

gov should be more than legal. what should your law allow to cover? voting rights only? behaviour? social? action? healthcare?

“Viewing HC as a Common Good”

Healthcare

shift in economic perpsective

Problems in Population

cannot do dollar to dollar comparison. unfair.

can do percentage comparison

Whose obligation?

Externally State

A public health ethics

Coughlin Article

Moral reasoning & deliberation

(we are not going to get questions answered by a set of rules) - human rights declaration can be damaging. sovereign state law do not solve the problem because it express only certain view of morality.

2.Principalism, casuistry, and other approaches.

Problem with Principalism - can be vague.

casuistry - case based approach to ethics. Need to apply moral reasoning. it is not going to answer itself.